How much rates vary
Facilitymedian $214 · 10th to 90th $100 to $1,230Professionalmedian $191 · 10th to 90th $105 to $240
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $138.04 Median $208.93 Typical High $208.93 | Facility | None | $138.04 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $204.17 Typical High $223.87 | Professional | None | $131.83 | $204.17 | $223.87 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $81.28 Median $151.36 Typical High $169.82 | Professional | UE · Used equipment | $81.28 | $151.36 | $169.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $181.97 Median $194.98 Typical High $239.88 | Professional | None | $181.97 | $194.98 | $239.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $18.20 Median $20.89 Typical High $38.90 | Professional | RR · Rental | $18.20 | $20.89 | $38.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $134.90 Median $144.54 Typical High $181.97 | Professional | UE · Used equipment | $134.90 | $144.54 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $190.55 | Facility | None | $177.83 | $177.83 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $177.83 | Professional | None | $151.36 | $151.36 | $177.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $15.14 Median $15.14 Typical High $17.78 | Professional | RR · Rental | $15.14 | $15.14 | $17.78 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | UE · Used equipment | $114.82 | $114.82 | $114.82 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $234.42 Typical High $1,230.27 | Facility | None | $38.90 | $234.42 | $1,230.27 |
Medica Setting Facility Modifier RR · Rental Typical Low $52.48 Median $123.03 Typical High $123.03 | Facility | RR · Rental | $52.48 | $123.03 | $123.03 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $128.82 Typical High $234.42 | Professional | None | $95.50 | $128.82 | $234.42 |
Medica Setting Professional Modifier RR · Rental Typical Low $12.30 Median $14.79 Typical High $30.20 | Professional | RR · Rental | $12.30 | $14.79 | $30.20 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $70.79 Median $97.72 Typical High $177.83 | Professional | UE · Used equipment | $70.79 | $97.72 | $177.83 |
United Setting Professional Modifier None Typical Low $70.79 Median $117.49 Typical High $239.88 | Professional | None | $70.79 | $117.49 | $239.88 |
United Setting Professional Modifier RR · Rental Typical Low $11.22 Median $16.98 Typical High $36.31 | Professional | RR · Rental | $11.22 | $16.98 | $36.31 |
United Setting Professional Modifier UE · Used equipment Typical Low $53.70 Median $87.10 Typical High $181.97 | Professional | UE · Used equipment | $53.70 | $87.10 | $181.97 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $104.71 Typical High $112.20 | Professional | 52 · Reduced service | $67.61 | $104.71 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $41.69 Typical High $44.67 | Professional | 53 · Discontinued | $27.54 | $41.69 | $44.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $31.62 Typical High $33.88 | Professional | 55 · Aftercare only | $20.42 | $31.62 | $33.88 |
Where Missouri sits
The same service costs 22.4 times more in Kansas than in Illinois. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Missouri· 22nd of 51
$191
KS $447IL $19.95
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.